MEDICARE: MRS. BETHANY RENFRO HERRERA MSN, APRN, FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	1058462	TX

General Provider Information

NPI Number	:	1245997956
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BETHANY RENFRO HERRERA MSN, APRN, FNP-C

Provider Business Mailing Address
First Line	:	1561 SIDEWINDER TRL
Second Line	:
City	:	WEATHERFORD
State	:	TX
Zip	:	76087-1311
Country	:	US
Telephone Number	:	817-228-0507
Fax Number	:

Provider Business Practice Location Address
First Line	:	2110 FORT WORTH HWY
Second Line	:
City	:	WEATHERFORD
State	:	TX
Zip	:	76086-4833
Country	:	US
Telephone Number	:	817-697-7982
Fax Number	:	817-286-4255

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2021
Last Update Date	:	04/13/2026

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